Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies assessor-blinded randomised controlled equivalence trial.docVIP

Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies assessor-blinded randomised controlled equivalence trial.doc

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Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies assessor-blinded randomised controlled equivalence trial

Lavenderetal.BMCPediatrics2012,12:59 /1471-2431/12/59 RESEARCH ARTICLE OpenAccess Effectonskinhydrationofusingbabywipesto cleanthenapkinareaofnewbornbabies: assessor-blindedrandomisedcontrolled equivalencetrial TinaLavender1,3*,ChristineFurber1,MalcolmCampbell1,SureshVictor2,3,IanRoberts4,CarolBedwell1 andMichaelJCork5 Abstract Background:Somenationalguidelinesrecommendtheuseofwateralonefornapkincleansing.Yet,thereisa readiness,amongstmanyparents,tousebabywipes.Evidencefromrandomisedcontrolledtrials,oftheeffectof babywipesonnewbornskinintegrityislacking.Weconductedastudytoexaminethehypothesisthattheuseof aspecificallyformulatedcleansingwipeonthenapkinareaofnewborninfants(1month)hasanequivalent effectonskinhydrationwhencomparedwithusingcottonwoolandwater(usualcare). Methods:Aprospective,assessor-blinded,randomisedcontrolledequivalencetrialwasconductedduring2010. Healthy,termbabies(n=280),recruitedwithin48hoursofbirth,wererandomlyassignedtohavetheirnapkinarea cleansedwithanalcohol-freebabywipe(140babies)orcottonwoolandwater(140babies).Primaryoutcomewas changeinhydrationfromwithin48hoursofbirthto4weekspost-birth.Secondaryoutcomescomprisedchanges intrans-epidermalwaterloss,skinsurfacepHanderythema,presenceofmicrobialskincontaminants/irritantsat 4weeksandnapkindermatitisreportedbymidwifeat4weeksandmotherduringthe4weeks. Results:Completehydrationdatawereobtainedfor254(90.7%)babies.Wipeswereshowntobeequivalentto waterandcottonwoolintermsofskinhydration(intention-to-treatanalysis:wipes65.4(SD12.4)vs.water63.5 (14.2),p=0.47,95%CI-2.5to4.2;perprotocolanalysis:wipes64.6(12.4)vs.water63.6(14.3),p=0.53,95%CI-2.4 to4.2).Nosignificantdifferenceswerefoundinthesecondaryoutcomes,exceptformaternal-reportednapkin dermatitis,whichwashigherinthewatergroup(p=0.025forcompleteresponses). Conclusions:Babywipeshadanequivalenteffectonskinhydrationwhencomparedwithcottonwoolandwater. Wefoundnoevidenceofanyadverseeffectsofusingthesewipes.Thesefindingsofferreassurancetoparentswho choosetousebab

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